Class Enrollment Form

Your Name *

First Name Last Name

Your Address *

Street Address

Street Address Line 2

City State

Zip Code

Phone Number *

Area Code Phone Number

Your E-mail *

example@example.com

Where did you here about us? *

Is This Your First Dog Or Puppy

Name *

Breed *

Age *

Gender *

My Dog Is *

Spayed Neutered Intact

Is Shy With (check all that apply) *

Other Dogs People Children Noises New Places Not Shy

Acts Aggressive Towards (check all that apply) *

Other Dogs Strangers Children Does Not Act Aggressive

Has your dog bitten anyone? *

Has your dog been attacked by another dog? *

Has your dog been in a fight? *

Problem Behaviors (check all that apply) *

Jumping Pulling On Leash Chewing Biting Over Excited Barking Digging Potting In The House

Have You Taken Any Prior Dog Training Classes? If Yes Please List.

Please Provide Any Other Information You Feel Is Helpful.

Note: If your dog is fearful or reactive around other dogs or people, a group class might be too much for them. We recommend starting with a consultation with one of our trainers to discuss other training alternatives.

Veterinarians Name? *

Clinic Name? *

Phone Number

Area Code Phone Number

Email

example@example.com

Note: Puppies must have at least one set of puppy vaccinations before allowed in class. Please provide proof of vaccination below.

Is Your Puppy Current On Vaccinations According To Your Veterinarian's Recommendation? *

Yes No

Please Upload Copy Of Current Vaccination Record here or bring to class

Browse Files

CHOOSE YOUR CLASS BY CLICKING ON THE BOX

Puppy Preschool - Starts Wed Jan 4th, 6:15 pm to 7pm. $ 106.00

For Puppies 8 to 16 wks - 4 week class

Puppy Manners - Starts Thurs, Jan 5th, 11:15 am to 12 pm. $ 140.00

For Puppies 5 to 18 mths - 6 week class

Puppy Manners - Starts Thurs Jan 5th, 6:15 pm to 7pm. $ 140.00

For Puppies 5 to 18 mths -6 week class

Enter coupon

Total $ 0.00

Note: Please read and sign the waiver below then click "SUBMIT" to process your enrollment form. Once submited you will receive two emails. One lets you know we received your form, the other will have the address, instructions on what to bring and other information to help prepare you for class.

AGREEMENT TO HOLD HARMLESS, WAIVER AND ASSUMPTION OF RISK

By signing below I agree to and understand that attendance of a dog obedience training class is not without risk to myself, members of my family or guests who may attend, or my dog, because of some of the dogs to which I will be exposed may be difficult to control and may be the cause of injury even when handled with the greatest amount of care.

I hereby waive and release Canine Training Adventures LLC/caninetrainingadventrues.com hereinafter referred to as the "Training Organization", its employees, officers, members and agents from any and all liability of any nature, for injury or damage which I or my dog may suffer, including specifically, but without limitation, any injury or damage resulting from the action of any dog, and I expressly assume the risk of such damage or injury while attending any training session, or any other function, of the Training Organization, or while on the training grounds or the surrounding area thereto.

In consideration of and as inducement to the acceptance of my application for training membership by this Training Organization, I hereby agree to indemnify and hold harmless this Training Organization, its employees, officers, members and agents from any and all claims, or claims by any member of any family or any other person accompanying me to any training session or function to the Training Organization, or while on the grounds or the surrounding area thereto as a result of any action by any dog, including my own.

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Class Enrollment

Owner Information

Dog / Puppy's Information

Veterinarian Information